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For Venous ulcers and vein issues
My liver was transplanted in
2021 in UAE FOR the autoimmune hepatitis disease . I am on immunosuppressive medication.
My liver tests are fine, but I have swelling in my legs and suffering from venous ulcers and atopic dermatitis .
I feel my legs heavy and painful after standing for a while.
Which treatments are best, and which doctors should I consult?
Answers (8)
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Please get venous dopller of both lower limbs, INR
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consult a vascular surgeon for a better evaluation
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U need to do some more test like sr albumine , USG Doppler of b/l leg , varicose vein protocol
Check for venous insufficiency and then accordingly need further management by either vascular / general surgeon.
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You need to consult a vascular surgeon after getting an Arteriovenous Doppler which could help in nothing what the actual issue is.
Basic opinion can be given but it's best to consult a specialist directly
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You need to consult vascular surgeon for management of vericose vein and ulcer
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You need to do color doppler venous
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Dr. Manu Maheendran
General Surgeon
13 yrs exp
Kottayam
Hello 🙏
Since your liver tests are normal after transplant, the leg swelling, heaviness, and venous ulcers are most likely due to chronic venous insufficiency, not liver-related. Immunosuppressive medicines can also worsen skin problems like atopic dermatitis.
Best treatment:
Compression stockings
Leg elevation and regular walking
Proper ulcer dressing and skin care
Topical treatment for dermatitis as advised
Doctors to consult:
Vascular surgeon
Dermatologist
Continue follow-up with your transplant/hepatology team
Health Tips
Caution:
Avoid prolonged standing
Do not self-medicate, especially steroid creams
Get early care if ulcers worsen or get infected
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Dr. Anisha Mettu
General Surgeon
6 yrs exp
Guntur
In your case, though you have had liver transplantation, your complaints are most likely due to venous insufficiency because your legs are painful and heavy after standing for a while but not even while you are at rest and you don’t have any other symptoms (assuming so because you have mot mentioned any.) Even then, along with regular LFT, you can also get certain other tests like serum albumin, INR, abdominal ultrasound, colour doppler of both lower limbs.
Next Steps
Get the advised tests
Health Tips
Consult vascular surgeon and surgical gastroenterologist
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Dr. Venkata Rama Reddy Dwarampudi
General Surgeon
5 yrs exp
Rajahmundry
Visit vascular surgeon
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Dr. A N M Owais Danish
General Surgeon
10 yrs exp
Hyderabad
It suggests chronic venous insufficiency (CVI) with secondary venous ulcers, possibly worsened by long-term medications and reduced mobility.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.